Interprofessional Teaching Clinic Practicalities

Brought to you by:KU SOM Dept. of Family Medicine

KU School of PharmacyKU School of Nursing

KU School of Health ProfessionsKU School of Law

What is IPE?World Health Organization definesInterprofessional Education (IPE):

“When students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. Once

students understand how to work interprofessionally, they are ready to enter the workplace as a member of the collaborative practice team. This is a key step in moving health systems from fragmentation to a

position of strength.”1

1 World Health Organization (WHO). Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization. 2010.

IPTC Practicalities Currently, IPTC runs 6 half days a week.

Pharmacy and Medicine are together everyday. Nursing, Pharmacy and Medicine see

patients together 2 of the 6 half-days. OT, PT, Psychology, Law and HIM

IPTC Practicalities

• Location may change if MOB Large Conference Room is unavailable. If that’s the case, we will be next door in MOB Small Conference Room.

• HIM students will be joining us on 3/10/14, 3/24/14, 3/31/14 and 4/7/14.

  Monday Tuesday Wednesday Thursday Friday

8AM-12PM IPTC: M3/6P*MOB Large Conference Room

IPTC: M3/6P/N4MOB Large Conference Room

IPTC: M3/6P/N4MOB Large Conference Room

IPTC: M3/6PMOB Small Conference Room

IPTC: M3/6P/PTMOB Large Conference Room

1PM-5PM NO IPTC Studio PopMOB Large Conference Room

IPTC: M3/6P/OTMOB Small Conference Room

NO IPTC NO IPTC

IPTC Practicalities Faculty

Medicine: Jana Zaudke MD, MA Hannah Maxfield MD, Sarah Marks MD Nursing: Christina Phillips DNP Pharmacy: James Kleoppel MS, PharmD, Sarah Shrader PharmD Physical Therapy: Stephen Jernigan PT, PhD Occupational Therapy: Dory Sabata OTD, Jane Cox OTD Medical-Legal Partnership: Katie Cronin BSW, JD, Dana

Pugh JD Clinical Psychology: Wendi Born PhD Heath Information Management: Lauren Pulino RHIA

IPTC Practicalities: Before the Encounter Remember to – Bring your laptop to IPTC

To access Epic using your web browser, go to: https://access.kumed.com

Download Citrix to access O2 and patient information.

Review the patient chart with your interprofessional team Click on the patient’s name on the provider schedule and

choose ‘Review’ from the toolbar directly above the schedule Do not double-click on the patient name until AFTER the patient

has arrived to the clinic

Huddle with your team BEFORE the encounter

IPTC Practicalities: During the Encounter

Interprofessional Patient-Centered Communication

Each team member introduced self to patient.

Each team member explained professional role to patient.

The team explained the “team-based” visit.

The team set expectations at the beginning of the visit with the patient.

The team elicited the patient’s perspective throughout the visit.

The team demonstrated empathy to the patient.

The team negotiated a treatment plan with the patient.

The team communicated to the patient in terms they could understand.

Interprofessional Team-Based Communication

During the Huddle before the encounter, the team pre-determined roles/tasks for each team member.

Everyone on the team contributed to the patient interview.The team was organized in their approach during the patient encounter.

During the Huddle after the encounter, everyone on team contributed to developing patient care plan.

Everyone on the team contributed to communicating the plan (including education) to the patient.

The team was respectful to all profession’s ideas.If needed, the team utilized conflict resolution to achieve team consensus with patient care plan.

IPTC Practicalities: During the Encounter

 

Interview and HistoryInterview addressed 1. Chief Complaint

  1. History of Present Illness

  1. Past Medical History

  1. Family History

  1. Social History

  1. Review of Systems

Patient Interviewed regarding medication reconciliation.Patient interviewed regarding health maintenance (e.g., smoking status, immunizations).Patient interviewed regarding self-care of chronic diseases (e.g., home blood glucose/pressure monitoring, diet, exercise).Patient assessed for adherence to treatment plan (e.g., meds, lifestyle changes).Physical exam was performed.  

IPTC Practicalities: During the Encounter

 

Collaborative Patient Care PlanTeam addressed concern for health literacy. 

Team addressed need for patient education.  

Team developed appropriate clinical care plan (e.g., labs, diagnostic tests, medications, referrals).

IPTC Practicalities: After the Encounter Remember to – Huddle with your team AFTER the encounter Involve all professions during the presentation of the

patient to the faculty preceptor(s) Consider using the SBAR to organize the team, the

presentation and the plan prior to presenting to the faculty preceptor(s).

IPTC Practicalities: After the Encounter

SBAR

SITUATION-Describe significant findings and complaints-Provide pertinent info from ROS and PE-Present today’s prioritized problem list

BACKGROUND-Provide brief history of the patient-Discuss pertinent labs, tests, meds, etc.

ASSESSMENT-Provide assessment for each problem on prioritized problem list

RECOMMENDATION-Provide plan for each problem on prioritized problem list-Discuss prioritized patient education and communication needs-Deliver plan for follow up and what patient education needs for the next visit

IPTC Practicalities:After the Encounter Write a note for every encounter

Include profession specific input from your team members in your note

Document the following items within the Doc Flowsheets, “Self-Management Counseling” tab Document patient education Document referrals to Medical-Legal Partnership, Mental Health

professional, etc. Document the names and professions of the students on your

team

IPTC Practicalities: After the Encounter

IPTC Practicalities Visit us at:http://medicine.kumc.edu/school-of-medicine/family-medicine/for-patients/ipt-clinic.html Here’s a link to a video made and

produced by nursing students who participated in IPTC Spring 2012.

http://youtu.be/sOFoeFxX7YE Follow us on Twitter @IPTClinic

What is Studio Pop? What is Studio Pop?

Studio – space and time for process and product

Pop – thinking about the patient population

When? Tuesday afternoons from 1-4 PM Where? MOB Large Conference Room

What are ‘Pop Tarts’? Activities are called ‘Pop Tarts’

Reflective writing Each profession’s faculty will prompt

students to complete two reflections. Both will be submitted via Blackboard within the

‘Studio Pop’ course.

Debriefing and Conversations Crucial Conversations and Conflict Resolution Viewing of the film, Unnatural Causes, and

small group discussion

What are ‘Pop Tarts’? High and Low Fidelity Simulations

Interprofessional Standardized Patient encounter – Jack Newman, Visit # 1 and #2

Medical Error Simulation Hot Spotting Home Visits Intensive Primary Care Visits

Studio Pop Week 1 – January 14th

(Zaudke/Kleoppel) IPE SP, “Jack Newman: Visit #1”

Week 2 – January 21st (Zaudke/Marks/Phillips) Orientation and Introductions

What is IPE and IPP? Who is on your team?

Working in Interprofessional Teams – how it is going?

Studio Pop Week 3 – January 28th

(Zaudke/Marks/Phillips/Kleoppel) Debrief on the week Film, ‘Unnatural Causes’ and Small Group

Discussions Week 4 – February 4th

(Zaudke/Marks/Phillips/Kleoppel/Cox) Debrief on the week ‘Crucial Conversations’

Studio Pop Week 5 – February 11th

(Zaudke/Phillips/Kleoppel) IPE SP “Jack Newman: Visit # 2”

Week 6 – February 18th (Zaudke/Marks/Phillips/Kleoppel) Hot Spotting Home Visits

Pharmacy, Nursing and Medicine

Studio Pop  Week 7 – February 25th

(Zaudke/Marks/Phillips/Kleoppel/Cox) Hot Spotting Home Visits

Pharmacy, Nursing, and Occupational Therapy

Thank you for your attention!